Individual
FADUMO NOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20052 INTERNATIONAL BLVD, SEATAC, WA 98198-5739
(206) 556-8101
Mailing address
20052 INTERNATIONAL BLVD, SEATAC, WA 98198-5739
(206) 556-8101
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
0000000000000
WA
261QA0600X
Adult Day Care Clinic/Center
—
WA
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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